A Case of Intussusception due to Inverted Meckel's Diverticulum with Lipoma

Seiichi Kitahama, Makio Mike, Satoshi Endo, Satoshi Matsuda, Seiko Uwafuji, Motoji Fukasawa, Shigetoshi Yamada, Yu Watarai, Hiroshi Kusanagi and Nobuyasu Kano

Department of Surgery, Kameda Medical Center

We report a case of adult intussusception due to inverted Meckel's diverticulum with lipoma, accompanied by idiopathic intussusception. A 34-year-old man with intermittent abdominal pain was found in enhanced abdominal CT to have multiple concentric ring signs of the intestines, diagnosed as ileoileal intussusception, necessitating emergency surgery. After confirming the presence of two separate intussusceptions laparoscopically, we made a minimal 5 cm incision at an appropriate site. The anal one shrank completely. The oral one, including the tumor, was resected after it had been shrunk as much as possible. Subserosal lipoma was located at the base of the inverted Meckel's diverticulum. Two such simultaneous intussusceptions are extremely rare.

Key words
intussusception, inverted Meckel's diverticulum, lipoma

Reprint requests
Seiichi Kitahama Department of Surgery, Kameda Medical Center
929 Higashi-cho, Kamogawa, 296-8602 JAPAN

Accepted
January 30, 2008

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